Long term nutritional intake and the risk for non-alcoholic fatty liver disease (NAFLD): A population based study

Background/Aims Weight loss is considered therapeutic for patients with NAFLD. However, there is no epidemiological evidence that dietary habits are associated with NAFLD. Dietary patterns associated with primary NAFLD were investigated. Methods A cross-sectional study of a sub-sample ( n = 375) of...

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Veröffentlicht in:Journal of hepatology 2007-11, Vol.47 (5), p.711-717
Hauptverfasser: Zelber-Sagi, Shira, Nitzan-Kaluski, Dorit, Goldsmith, Rebecca, Webb, Muriel, Blendis, Laurie, Halpern, Zamir, Oren, Ran
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container_end_page 717
container_issue 5
container_start_page 711
container_title Journal of hepatology
container_volume 47
creator Zelber-Sagi, Shira
Nitzan-Kaluski, Dorit
Goldsmith, Rebecca
Webb, Muriel
Blendis, Laurie
Halpern, Zamir
Oren, Ran
description Background/Aims Weight loss is considered therapeutic for patients with NAFLD. However, there is no epidemiological evidence that dietary habits are associated with NAFLD. Dietary patterns associated with primary NAFLD were investigated. Methods A cross-sectional study of a sub-sample ( n = 375) of the Israeli National Health and Nutrition Survey. Exclusion criteria were any known etiology for secondary NAFLD. Participants underwent an abdominal ultrasound, biochemical tests, dietary and anthropometric evaluations. A semi-quantitative food-frequency questionnaire was administered. Results After exclusion, 349 volunteers (52.7% male, mean age 50.7 ± 10.4, 30.9% primary NAFLD) were included. The NAFLD group consumed almost twice the amount of soft drinks ( P = 0.03) and 27% more meat ( P < 0.001). In contrast, the NAFLD group consumed somewhat less fish rich in omega-3 ( P = 0.056). Adjusting for age, gender, BMI and total calories, intake of soft drinks and meat was significantly associated with an increased risk for NAFLD (OR = 1.45, 1.13–1.85 95% CI and OR = 1.37, 1.04–1.83 95% CI, respectively). Conclusions NAFLD patients have a higher intake of soft drinks and meat and a tendency towards a lower intake of fish rich in omega-3. Moreover, a higher intake of soft drinks and meat is associated with an increased risk of NAFLD, independently of age, gender, BMI and total calories.
doi_str_mv 10.1016/j.jhep.2007.06.020
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However, there is no epidemiological evidence that dietary habits are associated with NAFLD. Dietary patterns associated with primary NAFLD were investigated. Methods A cross-sectional study of a sub-sample ( n = 375) of the Israeli National Health and Nutrition Survey. Exclusion criteria were any known etiology for secondary NAFLD. Participants underwent an abdominal ultrasound, biochemical tests, dietary and anthropometric evaluations. A semi-quantitative food-frequency questionnaire was administered. Results After exclusion, 349 volunteers (52.7% male, mean age 50.7 ± 10.4, 30.9% primary NAFLD) were included. The NAFLD group consumed almost twice the amount of soft drinks ( P = 0.03) and 27% more meat ( P &lt; 0.001). In contrast, the NAFLD group consumed somewhat less fish rich in omega-3 ( P = 0.056). Adjusting for age, gender, BMI and total calories, intake of soft drinks and meat was significantly associated with an increased risk for NAFLD (OR = 1.45, 1.13–1.85 95% CI and OR = 1.37, 1.04–1.83 95% CI, respectively). Conclusions NAFLD patients have a higher intake of soft drinks and meat and a tendency towards a lower intake of fish rich in omega-3. Moreover, a higher intake of soft drinks and meat is associated with an increased risk of NAFLD, independently of age, gender, BMI and total calories.</description><identifier>ISSN: 0168-8278</identifier><identifier>EISSN: 1600-0641</identifier><identifier>DOI: 10.1016/j.jhep.2007.06.020</identifier><identifier>PMID: 17850914</identifier><identifier>CODEN: JOHEEC</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>Adult ; Age Distribution ; Aged ; Beverages - adverse effects ; Biological and medical sciences ; Cross-Sectional Studies ; Eating - physiology ; Energy Intake - physiology ; Fatty Acids, Omega-3 - metabolism ; Fatty Acids, Omega-3 - therapeutic use ; Fatty Liver - epidemiology ; Fatty Liver - metabolism ; Fatty Liver - physiopathology ; Feeding Behavior - physiology ; Female ; Fish Products - utilization ; Gastroenterology and Hepatology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Israel - epidemiology ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Meat ; Meat - adverse effects ; Medical sciences ; Middle Aged ; NAFLD ; Nutrition ; Nutritional Status - physiology ; Omega-3 ; Other diseases. 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However, there is no epidemiological evidence that dietary habits are associated with NAFLD. Dietary patterns associated with primary NAFLD were investigated. Methods A cross-sectional study of a sub-sample ( n = 375) of the Israeli National Health and Nutrition Survey. Exclusion criteria were any known etiology for secondary NAFLD. Participants underwent an abdominal ultrasound, biochemical tests, dietary and anthropometric evaluations. A semi-quantitative food-frequency questionnaire was administered. Results After exclusion, 349 volunteers (52.7% male, mean age 50.7 ± 10.4, 30.9% primary NAFLD) were included. The NAFLD group consumed almost twice the amount of soft drinks ( P = 0.03) and 27% more meat ( P &lt; 0.001). In contrast, the NAFLD group consumed somewhat less fish rich in omega-3 ( P = 0.056). Adjusting for age, gender, BMI and total calories, intake of soft drinks and meat was significantly associated with an increased risk for NAFLD (OR = 1.45, 1.13–1.85 95% CI and OR = 1.37, 1.04–1.83 95% CI, respectively). Conclusions NAFLD patients have a higher intake of soft drinks and meat and a tendency towards a lower intake of fish rich in omega-3. Moreover, a higher intake of soft drinks and meat is associated with an increased risk of NAFLD, independently of age, gender, BMI and total calories.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Beverages - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Eating - physiology</subject><subject>Energy Intake - physiology</subject><subject>Fatty Acids, Omega-3 - metabolism</subject><subject>Fatty Acids, Omega-3 - therapeutic use</subject><subject>Fatty Liver - epidemiology</subject><subject>Fatty Liver - metabolism</subject><subject>Fatty Liver - physiopathology</subject><subject>Feeding Behavior - physiology</subject><subject>Female</subject><subject>Fish Products - utilization</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastroenterology. Liver. Pancreas. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Israel - epidemiology</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Meat</topic><topic>Meat - adverse effects</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>NAFLD</topic><topic>Nutrition</topic><topic>Nutritional Status - physiology</topic><topic>Omega-3</topic><topic>Other diseases. Semiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Sex Distribution</topic><topic>Soft drinks</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zelber-Sagi, Shira</creatorcontrib><creatorcontrib>Nitzan-Kaluski, Dorit</creatorcontrib><creatorcontrib>Goldsmith, Rebecca</creatorcontrib><creatorcontrib>Webb, Muriel</creatorcontrib><creatorcontrib>Blendis, Laurie</creatorcontrib><creatorcontrib>Halpern, Zamir</creatorcontrib><creatorcontrib>Oren, Ran</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zelber-Sagi, Shira</au><au>Nitzan-Kaluski, Dorit</au><au>Goldsmith, Rebecca</au><au>Webb, Muriel</au><au>Blendis, Laurie</au><au>Halpern, Zamir</au><au>Oren, Ran</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long term nutritional intake and the risk for non-alcoholic fatty liver disease (NAFLD): A population based study</atitle><jtitle>Journal of hepatology</jtitle><addtitle>J Hepatol</addtitle><date>2007-11-01</date><risdate>2007</risdate><volume>47</volume><issue>5</issue><spage>711</spage><epage>717</epage><pages>711-717</pages><issn>0168-8278</issn><eissn>1600-0641</eissn><coden>JOHEEC</coden><abstract>Background/Aims Weight loss is considered therapeutic for patients with NAFLD. However, there is no epidemiological evidence that dietary habits are associated with NAFLD. Dietary patterns associated with primary NAFLD were investigated. Methods A cross-sectional study of a sub-sample ( n = 375) of the Israeli National Health and Nutrition Survey. Exclusion criteria were any known etiology for secondary NAFLD. Participants underwent an abdominal ultrasound, biochemical tests, dietary and anthropometric evaluations. A semi-quantitative food-frequency questionnaire was administered. Results After exclusion, 349 volunteers (52.7% male, mean age 50.7 ± 10.4, 30.9% primary NAFLD) were included. The NAFLD group consumed almost twice the amount of soft drinks ( P = 0.03) and 27% more meat ( P &lt; 0.001). In contrast, the NAFLD group consumed somewhat less fish rich in omega-3 ( P = 0.056). Adjusting for age, gender, BMI and total calories, intake of soft drinks and meat was significantly associated with an increased risk for NAFLD (OR = 1.45, 1.13–1.85 95% CI and OR = 1.37, 1.04–1.83 95% CI, respectively). Conclusions NAFLD patients have a higher intake of soft drinks and meat and a tendency towards a lower intake of fish rich in omega-3. Moreover, a higher intake of soft drinks and meat is associated with an increased risk of NAFLD, independently of age, gender, BMI and total calories.</abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>17850914</pmid><doi>10.1016/j.jhep.2007.06.020</doi><tpages>7</tpages></addata></record>
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subjects Adult
Age Distribution
Aged
Beverages - adverse effects
Biological and medical sciences
Cross-Sectional Studies
Eating - physiology
Energy Intake - physiology
Fatty Acids, Omega-3 - metabolism
Fatty Acids, Omega-3 - therapeutic use
Fatty Liver - epidemiology
Fatty Liver - metabolism
Fatty Liver - physiopathology
Feeding Behavior - physiology
Female
Fish Products - utilization
Gastroenterology and Hepatology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Israel - epidemiology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Meat
Meat - adverse effects
Medical sciences
Middle Aged
NAFLD
Nutrition
Nutritional Status - physiology
Omega-3
Other diseases. Semiology
Prospective Studies
Risk Factors
Sex Distribution
Soft drinks
title Long term nutritional intake and the risk for non-alcoholic fatty liver disease (NAFLD): A population based study
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